OrganizationActive
Children'S Heart Care Clinic LLC
NPI 1114257052 · Pediatric Cardiology Physician · Fortville, IN
Provider details
- NPI number
- 1114257052
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Todman, Evp and Chief Medical Officer(646) 234-8354
- License
- 01063650A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14328 Waterway Blvd
Fortville, IN 46040-9455
Phone: (646) 234-8354
Approximate (ZIP-level) locationGet directions
Mailing address
14328 Waterway Blvd
Fortville, IN 46040-9455
Registry dates
- Enumerated
- 2009-12-26
- Last updated
- 2011-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.